Provider Demographics
NPI:1558144915
Name:BUDD, KEVIN RICHARD (MS, NCC, MT-BC)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:RICHARD
Last Name:BUDD
Suffix:
Gender:M
Credentials:MS, NCC, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:3325 N ARLINGTON HEIGHTS RD STE 400C
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1576
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3325 N ARLINGTON HEIGHTS RD STE 400C
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1576
Practice Address - Country:US
Practice Address - Phone:708-550-3153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-17
Last Update Date:2025-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
13115225A00000X
MI6451024458101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist